INITIUM NOVUM LLC (NPI# 1346809290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346809290 |
| Entity Type | Organization |
| Organization Name | INITIUM NOVUM LLC |
| Practice Address |
1657 N Miami Ave Apt 515 Miami FL 33136-2010 |
| Practice Telephone | 3103677517 |
| Mailing Telephone | 3103677517 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Authorized Official Name | TERRENCE VALENTINO BAILEY (DIRECTOR OF HUMAN PERFORMANCE) |
| Authorized Official Telephone | 3103677517 |
| Authorized Official Credential | EXERCISEPHYSIOLO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
Ambulatory Health Care Facilities | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Venom Performance Training | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | INITIUM NOVUM LLC | 229-19 Merrick Blvd # 477, Laurelton, Ny 11413 |
| Street Address |
1657 N MIAMI AVE APT 515 |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578106274 | Valentino Bailey | Massage Therapist | 1657 N Miami Ave Apt 515, Miami, FL 33136-2010 | 2019-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750514964 | Jose Felipe Haber | Preventive Medicine | 12765 Sw 42nd St, Miami, FL 33175-3429 | 2009-09-03 |
| 1891909073 | Linda Ann Woodard | Preventive Medicine | 8770 Sw 72nd St # 285, Miami, FL 33173-3512 | 2007-05-09 |
| 1760758593 | R.p. Comprehensive Healthcare Inc | Preventive Medicine | 7500 Sw 8th St, Suite 301, Miami, FL 33144-4400 | 2012-03-27 |
| 1518048545 | Lora E Fleming | Preventive Medicine | 1475 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1002 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272868 | Lifegaines Medical and Aesthetics | Preventive Medicine | 3785 N Federal Hwy, Suite 150, Boca Raton, FL 33431 | 2020-07-22 |
| 1174147193 | Virtu30 Telehealth Services | Preventive Medicine | 1540 16th St Ne, Naples, FL 34120-3447 | 2020-06-05 |
| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1659990521 | Nickson Henry | Preventive Medicine | 4700 Portofino Way Apt 201, West Palm Beach, FL 33409-8174 | 2020-04-10 |
| 1609402619 | Bro Roc, LLC | Preventive Medicine | 1809 Ne 59th St, Fort Lauderdale, FL 33308-2443 | 2020-03-21 |
| 1306353776 | Roxanne Summerville | Preventive Medicine | 1064 N Tamiami Trl Unit 1302, Sarasota, FL 34236-2475 | 2018-01-06 |
| 1659884039 | Donald Joseph Crane | Preventive Medicine | 3125 Merion Dr, Miramar Beach, FL 32550-7887 | 2017-11-08 |
| 1801257183 | Sofia Abigail Funes | Preventive Medicine | 8 Hemlock Circle Ct, Ocala, FL 34472-9092 | 2016-03-14 |
| 1669850640 | Lareece Long | Preventive Medicine | 715 Bellshire Way, Winter Garden, FL 34787-2430 | 2015-05-11 |
| 1770908477 | Robert David Willix Jr. | Preventive Medicine | 501 E Camino Real, Boca Raton, FL 33432-6127 | 2014-03-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.